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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Ethics and ENDS.

Elizabeth Fenton1, Lindsay Robertson2, Janet Hoek3

  • 1Bioethics Centre, University of Otago, Dunedin, New Zealand elizabeth.fenton@otago.ac.nz.

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|March 26, 2022
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Summary
This summary is machine-generated.

Ethical arguments for liberal electronic nicotine delivery systems (ENDS) policies are challenged. Prioritizing harm reduction for smokers over preventing youth uptake may not be ethically justified.

Keywords:
electronic nicotine delivery devicesharm reductionpublic policy

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Area of Science:

  • Public Health
  • Bioethics
  • Regulatory Science

Background:

  • Debates on regulating electronic nicotine delivery systems (ENDS) often involve rights-based arguments.
  • Proponents of liberal ENDS policies prioritize harm reduction for current smokers over preventing youth initiation.

Discussion:

  • This article critically examines ethical arguments for prioritizing current smokers' harm reduction over potential harm to never-smokers.
  • It questions the assumption that ethical considerations for youth do not apply to ENDS regulation.
  • Arguments based on resource prioritization and utilitarianism are deemed inappropriate for ENDS regulation.

Key Insights:

  • Ethical weight does not clearly favor smokers over never-smokers when appropriate comparators are used.
  • ENDS are not a scarce resource, making resource prioritization arguments unsuitable.
  • Utilitarian approaches fail to adequately consider vulnerable groups' rights and the distribution of benefits/harms.

Outlook:

  • One-directional harm reduction arguments overlook potential increased harm to non-smokers and new nicotine users.
  • Further ethical analysis is needed to balance competing interests in ENDS regulation.
  • Policy decisions must consider the full spectrum of potential harms and benefits across different populations.